Jaime M Riley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

290111 Issued in NY

Practice address

5188 Novara LN
Clay, NY 13041-8800

Phone

(315) 450-8050

NPI assigned

Aug 12, 2008

Last updated

Jul 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jaime Marie Rogala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1316193246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 NOVARA LN",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418800",
            "telephone_number": "315-450-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5188 NOVARA LN",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418800",
            "telephone_number": "315-450-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JAIME",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "ROGALA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olga Bartley
• Patty-Roy Foundation, Inc.
• Lindsay Priest
• Gisela Inge Puccini, LPN
• Nancy Annette Radecki, NANCY RADECKI
• Yvette Rivera
• Safi Optometrist PC (Mondo Optical)
• Raven Smith- Bentley, LPN
• Kimberly Jean Sprague
• Norman Andrew Starkweather, RN

• Licensed Practical Nurse in Clay, NY
• Providers in Clay, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.